Active NPI
Gregory James Vavrek
- Professional Counselor
- Plainville, CT
National Provider Identifier
1699036954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3164
- Practice address
- 49 Broad St
Plainville, CT 06062-4201 - Phone
- (860) 410-6535
- NPI assigned
- Jun 4, 2012
- Last updated
- Jun 14, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3164 | CT | Primary |
Addresses
Primary practice location
49 Broad St
Plainville, CT 06062-4201
Mailing address
160 Pinnacle Rd
Bristol, CT 06010-2219
Phone (303) 885-6451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3164 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea-Mar Community Health Center | Past | Accepting new patients | |
| Empowering Lives Counseling LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Plainville, CT
- NPI 1922606847
-
- Federally Qualified Health Center (FQHC)
- Tacoma, WA
- NPI 1134381395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1699036954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 PINNACLE RD",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060102219",
"telephone_number": "303-885-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 BROAD ST",
"city": "PLAINVILLE",
"state": "CT",
"postal_code": "060624201",
"telephone_number": "860-410-6535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAVREK",
"first_name": "GREGORY",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-04",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "3164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.